G05.4 — Myelitis in diseases classified elsewhere
G05.4 is a billable, specific ICD-10-CM code for myelitis in diseases classified elsewhere. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Meningomyelitis in diseases classified elsewhere
Risk adjustment
G05.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
G05.4 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56551Billing and Coding: Visual Fields Testing
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56799Billing and Coding: Visual Fields Testing
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How G05.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G05.4.
- Meningomyelitis›in diseases classified elsewhere
- Myelitis›in diseases classified elsewhere
Related codes at this level
Codes that share G05. If G05.4 is not quite right, the correct code is usually one of these.
Questions about G05.4
- Is G05.4 a billable ICD-10-CM code?
- Yes. G05.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G05.4 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Inflammatory diseases of the central nervous system (G00-G09).